How to file a complaint about care →
No fines or payment denials in the published 3-year window.
Carr 2 Km 173 4 Bo Cain Alto, San German, PR 00683 (opens Google Maps) · San German County · (787) 892-1860· 30 certified beds · avg 46 residents/day · certified since Oct 24, 2024 · Medicare only — not Medicaid certified
Certified for Medicare only. Medicare pays for short rehabilitation stays, not for long-term care — and this facility cannot bill Medicaid, which is what most families rely on for a long stay. Ask what a long-term stay here would cost and how it would be paid for. Who pays for nursing home care →
New to these records? How to read an inspection report →
Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 2/5 · how star ratings work →
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and quality measures from resident assessments and claims.
Showing the latest 3 of 51 inspection findings. Open the full record below to read every finding.
The facility did not have enough nursing staff each day to meet every resident's needs, or did not have a licensed nurse in charge on each shift. Adequate staffing is one of the strongest predictors of good care. F-0725
The facility did not make sure its nurses and nurse aides had the skills and training needed to properly care for every resident. F-0726
The facility did not give residents proper notice about what Medicare or Medicaid covers, or about charges the resident might owe for services that aren't covered. F-0582
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Mar 5, 2026 | F · Potential for more than minimal harm, widespread | The facility did not have enough nursing staff each day to meet every resident's needs, or did not have a licensed nurse in charge on each shift. Adequate staffing is one of the strongest predictors of good care. · F-0725 |
| Mar 5, 2026 | F · Potential for more than minimal harm, widespread | The facility did not make sure its nurses and nurse aides had the skills and training needed to properly care for every resident. · F-0726 |
| Mar 5, 2026 | E · Potential for more than minimal harm, pattern | The facility did not give residents proper notice about what Medicare or Medicaid covers, or about charges the resident might owe for services that aren't covered. · F-0582 |
| Mar 5, 2026 | E · Potential for more than minimal harm, pattern | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · F-0584 |
| Mar 5, 2026 | D · Potential for more than minimal harm, isolated | The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration. · F-0692 |
| Sep 12, 2024 | F · Potential for more than minimal harm, widespread | The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. · F-0550 |
| Sep 12, 2024 | F · Potential for more than minimal harm, widespread | The facility did not allow a resident's chosen representative — often a family member or someone with power of attorney — to exercise the resident's rights on their behalf. When a resident can't speak for themselves, their representative steps into that role. · F-0551 |
| Sep 12, 2024 | F · Potential for more than minimal harm, widespread | The facility did not make sure residents were fully informed about their own health, care, and treatments in a way they could understand. · F-0552 |
| Sep 12, 2024 | F · Potential for more than minimal harm, widespread | The facility did not let a resident help develop and carry out their own plan of care — the written roadmap of the services and support they'll receive, built around their personal goals and preferences. · F-0553 |
| Sep 12, 2024 | F · Potential for more than minimal harm, widespread | The facility did not allow residents to take their own medications when a clinical review showed they could do so safely. Residents have this right if their care team determines it's appropriate. · F-0554 |
| Sep 12, 2024 | F · Potential for more than minimal harm, widespread | The facility did not honor a resident's right to choose their own attending doctor. Residents get to decide which physician oversees their care. · F-0555 |
| Sep 12, 2024 | F · Potential for more than minimal harm, widespread | The facility did not treat residents with respect and dignity, or did not let them keep and use their own personal belongings. · F-0557 |
| Sep 12, 2024 | F · Potential for more than minimal harm, widespread | The facility did not make reasonable adjustments to fit each resident's individual needs and preferences — things like call buttons within reach, preferred wake-up times, or accessible room setups. · F-0558 |
| Sep 12, 2024 | F · Potential for more than minimal harm, widespread | The facility did not honor residents' right to share a room with their spouse or a roommate of their choosing, or moved residents to a different room without written notice beforehand. · F-0559 |
| Sep 12, 2024 | F · Potential for more than minimal harm, widespread | The facility did not protect residents' right to refuse certain moves within the nursing home that they did not ask for, such as being switched between units. Residents have a say in where they live inside the facility. · F-0560 |
| Sep 12, 2024 | F · Potential for more than minimal harm, widespread | The facility did not honor residents' right to make their own choices about their daily lives, such as when to wake up, what to eat, or how to spend their time. · F-0561 |
| Sep 12, 2024 | F · Potential for more than minimal harm, widespread | The facility did not allow people with a legal right to see a resident — such as family, doctors, or ombudsmen — to have immediate access to that resident. · F-0562 |
| Sep 12, 2024 | F · Potential for more than minimal harm, widespread | The facility did not honor residents' right to receive the visitors they choose, at the times they choose. · F-0563 |
| Sep 12, 2024 | F · Potential for more than minimal harm, widespread | The facility did not inform residents of their visitation rights or did not treat all visitors equally. Residents have the right to receive the visitors they choose. · F-0564 |
| Sep 12, 2024 | F · Potential for more than minimal harm, widespread | The facility did not honor residents' right to form and take part in resident or family groups, such as a resident council. · F-0565 |
| Sep 12, 2024 | F · Potential for more than minimal harm, widespread | The facility did not follow the rules about resident work. Residents must never be forced to work for the nursing home, but those who want to work must be allowed to. · F-0566 |
| Sep 12, 2024 | F · Potential for more than minimal harm, widespread | The facility did not honor residents' right to manage their own money and financial affairs. · F-0567 |
| Sep 12, 2024 | F · Potential for more than minimal harm, widespread | The facility did not properly hold, secure, and manage residents' personal money that was deposited with it for safekeeping. Facilities holding residents' funds must keep careful, honest accounts. · F-0568 |
| Sep 12, 2024 | F · Potential for more than minimal harm, widespread | The facility did not properly notify residents about the balance of money it holds for them, or failed to return those funds when a resident was discharged, evicted, or died. · F-0569 |
| Sep 12, 2024 | F · Potential for more than minimal harm, widespread | The facility did not properly protect the personal money residents deposited with it for safekeeping. · F-0570 |
| Sep 12, 2024 | F · Potential for more than minimal harm, widespread | The facility charged residents' personal funds for items or services that Medicare or Medicaid already pays for. Facilities may not bill residents for covered items. · F-0571 |
| Sep 12, 2024 | F · Potential for more than minimal harm, widespread | The facility did not give residents the required written notice of their rights, the facility's rules, the services offered, and what those services cost. · F-0572 |
| Sep 12, 2024 | F · Potential for more than minimal harm, widespread | The facility did not let a resident or their legal representative see or buy copies of the resident's own records. · F-0573 |
| Sep 12, 2024 | F · Potential for more than minimal harm, widespread | The facility did not give residents important notices in a format and language they can understand — for example, translated documents or accessible formats for those with vision or hearing loss. · F-0574 |
| Sep 12, 2024 | F · Potential for more than minimal harm, widespread | The facility did not post the names, addresses, and phone numbers of state agencies and advocacy groups, along with a notice that residents may file complaints with the state survey agency. · F-0575 |
| Sep 12, 2024 | F · Potential for more than minimal harm, widespread | The facility did not give residents reasonable access to and privacy in using ways to communicate, such as phones, mail, and email. Residents have the right to stay in touch with the outside world privately. · F-0576 |
| Sep 12, 2024 | F · Potential for more than minimal harm, widespread | The facility did not make its inspection results easy for residents to see, or made it hard for residents to contact advocacy agencies like the ombudsman. · F-0577 |
| Sep 12, 2024 | F · Potential for more than minimal harm, widespread | The facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care. · F-0578 |
| Sep 12, 2024 | F · Potential for more than minimal harm, widespread | The facility did not give residents information about how to apply for and use Medicare and Medicaid benefits. · F-0579 |
| Sep 12, 2024 | F · Potential for more than minimal harm, widespread | The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. · F-0580 |
| Sep 12, 2024 | F · Potential for more than minimal harm, widespread | The facility did not keep residents' personal and medical information private and confidential. · F-0583 |
| Sep 12, 2024 | F · Potential for more than minimal harm, widespread | The facility did not honor residents' right to voice complaints without discrimination or retaliation, or did not have a working complaint process that resolves issues promptly. · F-0585 |
| Sep 12, 2024 | F · Potential for more than minimal harm, widespread | The facility prohibited or discouraged residents from communicating with federal, state, or local officials. · F-0586 |
| Sep 12, 2024 | F · Potential for more than minimal harm, widespread | The facility used physical restraints — devices that limit a resident's movement — when they weren't needed for medical treatment. · F-0604 |
| Sep 12, 2024 | F · Potential for more than minimal harm, widespread | The facility gave residents unnecessary mind-altering (psychotropic) medications, or used drugs in a way that restrained residents by dulling their ability to think, move, or function. · F-0605 |
| Sep 12, 2024 | F · Potential for more than minimal harm, widespread | The facility did not create and follow a basic care plan covering a new resident's most immediate needs within 48 hours of admission. The first days are when a new resident is most vulnerable. · F-0655 |
| Sep 12, 2024 | F · Potential for more than minimal harm, widespread | The facility did not provide routine dental care and 24-hour emergency dental care for residents. · F-0790 |
| Sep 12, 2024 | F · Potential for more than minimal harm, widespread | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · F-0880 |
| Sep 12, 2024 | F · Potential for more than minimal harm, widespread | The facility did not provide its staff with required training on behavioral health — caring for residents with conditions like dementia, depression, or other mental health needs. · F-0949 |
| Sep 12, 2024 | E · Potential for more than minimal harm, pattern | The facility did not fully assess residents on time — a complete assessment of health, abilities, and needs is required when a resident is first admitted and at least once every 12 months after that. · F-0636 |
| Sep 12, 2024 | E · Potential for more than minimal harm, pattern | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. · F-0656 |
| Sep 12, 2024 | D · Potential for more than minimal harm, isolated | The facility's menus did not meet residents' nutritional needs, or were not prepared in advance, followed as written, kept up to date, or reviewed by a dietician. · F-0803 |
| Sep 12, 2024 | D · Potential for more than minimal harm, isolated | The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature. · F-0804 |
| Sep 12, 2024 | C · Potential for minimal harm, widespread | The facility did not post its nurse staffing information every day. Nursing homes must publicly display how many nurses and aides are on duty each day. · F-0732 |
| Sep 12, 2024 | C · Potential for minimal harm, widespread | The facility did not provide food that accounts for each resident's allergies, intolerances, and personal preferences, or did not offer appealing alternatives. · F-0806 |
| Sep 12, 2024 | C · Potential for minimal harm, widespread | The facility did not electronically submit complete and accurate staffing information to the government, based on payroll and other verifiable records. · F-0851 |
Citations from standard inspections decreased between the last two inspection cycles (46 → 5).
All bars start at zero. Exact values and supporting details remain below.
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2024 | 46 | 0 | F |
| 2026 | 5 | 0 | F |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
How to file a complaint about care →
No fines or payment denials in the published 3-year window.
What these staffing numbers mean →
All bars start at zero. Exact values and supporting details remain below.
| Measure | This facility | Puerto Rico avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 3.25 | 4.07 | 3.95 | bottom 13% in Puerto Rico; bottom 24% in the U.S. |
| Registered Nurse hours | 3.25 | 3.22 | 0.69 | bottom 38% in Puerto Rico; top 1% in the U.S. |
| Weekend total nurse staffing | 2.66 | 3.24 | 3.50 | bottom 13% in Puerto Rico; bottom 15% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 2.66 | 2.29 | 0.48 | bottom 38% in Puerto Rico; top 1% in the U.S. |
| Total nursing staff turnover (%) | — | 35.7 | 45.8 | — |
| RN turnover (%) | — | 35.8 | 42.9 | — |
Hours are per resident per day for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.24, RN 3.24, weekend 2.66.Comparing with Medicare Care Compare? Care Compare shows the raw figure (3.24 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 3/5.
Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.
Quality measures rating: —/5 · long-stay residents: —/5 · short-stay residents: —/5
Price evidence · separate from quality
No verified facility-specific private-pay price is available in our data for Hospital de la Concepcion INC. CMS inspection and staffing records do not tell us what this home will charge you.
Use a written private-pay quote. This worksheet adds only the amounts you enter; it does not calculate Medicare, Medicaid or insurance benefits.
Formula: (room rate + daily extras) × days + one-time charges. A 30-day scenario is not a calendar-month quote. Refundable deposits, rate changes and charges you omit are not automatically included. Entries are not saved or sent to our server.
Understand who pays for care · How we handle price evidence · Report an incorrect price
How to read ownership records →
Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →
Non profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Hospital de la Concepcion INC | Organization | 5% or Greater Direct Ownership Interest | 100% | 12/05/2023 |
| Calderon, Lizmari | Individual | W-2 Managing Employee | NOT APPLICABLE | 12/05/2023 |
| Calderon, Lizmari | Individual | Corporate Director | NOT APPLICABLE | 12/05/2023 |
| Calderon, Lizmari | Individual | Operational/Managerial Control | NOT APPLICABLE | 12/05/2023 |
| Calderon, Lizmari | Individual | ADP of the SNF | NOT APPLICABLE | 01/17/2025 |
| Cardona Rodriguez, Vanessa | Individual | W-2 Managing Employee | NOT APPLICABLE | 12/05/2023 |
| Cardona Rodriguez, Vanessa | Individual | Corporate Officer | NOT APPLICABLE | 12/05/2023 |
| Cardona Rodriguez, Vanessa | Individual | Operational/Managerial Control | NOT APPLICABLE | 12/05/2023 |
| Cardona Rodriguez, Vanessa | Individual | ADP of the SNF | NOT APPLICABLE | 01/17/2025 |
| Ferrer, Marie | Individual | W-2 Managing Employee | NOT APPLICABLE | 12/05/2023 |
| Ferrer, Marie | Individual | Corporate Director | NOT APPLICABLE | 12/05/2023 |
| Ferrer, Marie | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/17/2025 |
| Ferrer, Marie | Individual | ADP of the SNF | NOT APPLICABLE | 01/17/2025 |
| Hospital de la Concepcion INC | Organization | Operational/Managerial Control | NOT APPLICABLE | 01/17/2025 |
| Hospital de la Concepcion INC | Organization | ADP of the SNF | NOT APPLICABLE | 01/17/2025 |
| Quinones Bodega, Carlos | Individual | Corporate Director | NOT APPLICABLE | 12/05/2023 |
| Quinones Bodega, Carlos | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/17/2025 |
| Quinones Bodega, Carlos | Individual | ADP of the SNF | NOT APPLICABLE | 01/17/2025 |
All 18 owning or managing parties CMS has on file are shown — none excluded.
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Servicios Integrados de Rehabilitacion (siro) INC | 7.5 mi | Hormigueros, PR | ★★★☆☆ | 4/5 |
Facility data as of CMS processing date 2026-08-01. CCN 405032.
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